FORM 1023-EZ for SANKOFA SAFEHAVEN HOUSE INC

Field Data
EIN 86-1614767
Case Number EO-2021183-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANKOFA SAFEHAVEN HOUSE INC
Organization’s Mailing Address 3257 BERT KOUNS INDUSTRIAL APT15205
City SHREVEPORT
State LA
ZIP 71118-2979
Accounting period End 12
Primary contact name SENOBIA COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SENOBIA COLEMAN
PRESIDENT
3257 BERT KOUNS INDUSTRIAL APT15205
SHREVEPORT LA 71118-2979

Officer/Director/Trustee Two

DWANNA HINES
VICE PRESIDENT
219 RIDING CLUB LANE
FRIERSON LA 71027-2263

Officer/Director/Trustee Three

ROSIE BROWN
SECRETARY
1738 NORTON STREET
SHREVEPORT LA 71107-4820

Officer/Director/Trustee Four

JANET WHITE
TREASURER
267 EAST SLATTERY BOULEVARD
SHREVEPORT LA 71104-5146

Officer/Director/Trustee Five

MARSHA OMOLULU
BOARD MEMBER
181 GRAYWOOD DRIVE
MINDEN LA 71055-6435

Organization’s website NA
Organization’s email SANKOFASAFEHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2021
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SENOBIA COLEMAN
Signature Title PRESIDENT
Signature Date 6/30/2021

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